The Journal of Bone and Joint Surgery, Vol 58, Issue 1 24-32, Copyright © 1976 by Journal of Bone and Joint Surgery, Inc
The patterns of spinal deformity in Duchenne muscular dystrophy
KE Wilkins and DA Gibson
In a clinical and roentgenographic study of spinal deformities in sixty-two
patients in the later stages of Duchenne muscular dystrophy, many patients
had marked scoliosis and kyphosis, while others with hyperextended spines
had comparatively little scoliosis. Based on an analysis of the data, it is
suggested that the development of spinal deformity in patients with
Duchenne muscular dystrophy may progress in two ways: one leading to the
early establishment of a position of extension and a maximum intrinsic
stability with minor deformity, and the other leading to progressive
deformity. It was concluded that management for these patients should be
designed to guide the early straight spine toward the late extended pattern
by attempting to prevent kyphosis and pelvic obliquity.